Organization
HEART MOUNTAIN CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A MADRID D.C. (OWNER)
(307) 527-5469
Entity
Organization
Contact information
Practice address
1543 BLEISTEIN AVE, CODY, WY 82414-3806
(307) 527-5469
(307) 527-6949
Mailing address
1543 BLEISTEIN AVE, CODY, WY 82414-3806
(307) 527-5469
(307) 527-6949
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
571
WY
Other
Enumeration date
07/20/2007
Last updated
12/11/2007
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